Provider Enrollment

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Provider Enrollment

Quick clicks

Enroll online to become a Medicare provider – using internet-based PECOS

What's the time frame for processing an application?

Check the status of your enrollment application

Use the enrollment application assistance tool to determine your application type

Learn how to revalidate your enrollment

Contact the provider enrollment department at 888-845-8614

New providers: Enroll now

Learn how to enroll as a Medicare provider for the first time, including how to take the internet-based PECOS fast track to expedite your application, required documentation to support your enrollment eligibility, and how to quickly check your application’s status.

Learn how to enroll using internet-based PECOS

Use the enrollment application assistance tool to determine your application type

Know which documents you’ll need to support your application

Learn how to get your NPI external link

Find Medicare provider/supplier specialty codes

Learn about enrollment forms

Begin online enrollment external link

Check application status: Search by CCN or Search by PECOS tracking ID

Enrollment status lookup

Use this versatile tool to check the status of all active enrollment applications, a single application, or confirm a revalidation request.

Check your application status

• Learn how to use the application status lookup

Existing providers: Updates or revalidations

Learn how to update your official enrollment record in internet-based PECOS, submit a change of address, obtain a lost PTAN, check to see if you have been sent a revalidation request, and learn the status of your application.

Learn how to take advantage of internet-based PECOS

Learn how to obtain a lost PTAN

Learn how to change your address

Confirm a revalidation request using the application status tool – Note: Select the Revalidation letter tab to confirm a revalidation request.

Learn how to revalidate

Revalidation FAQs

Update your enrollment record online external link

Check application status -- Search by: CCN, NPI and PTAN, or PECOS tracking ID

News

Read important news and information about provider enrollment.

Provider enrollment will email letters

Modified: 3/30/2020

We’re implementing a faster way to communicate with you regarding your provider enrollment submissions. Beginning in April 2020, we’ll now email development letters and certain decision letters to you. This will be a phased approach as we transition to this new and exciting option throughout the month.

Provider Enrollment contact information

Find the contacts you need to answer your questions about the enrollment process and internet-based PECOS.

Provider enrollment contact information: Part A

Florida -- Part A

Puerto Rico -- Part A

U.S. Virgin Islands -- Part A

Provider enrollment contact information: Part B

Florida -- Part B

Puerto Rico -- Part B

U.S. Virgin Islands -- Part B

Internet-based PECOS: Help : 866-484-8049

Internet-based PECOS resources

Learn everything you need to know about how to take advantage of online enrollment using internet-based PECOS.

Learn how to use internet-based PECOS

Learn helpful internet-based PECOS tips

Find internet-based PECOS tutorials

Begin online enrollment external link

Check application status -- individual external link

Check application status -- organization external link

NPI

Learn how to apply for your NPI, search the NPI registry, and update your records in the National Plan & Provider Enumeration System (NPPES).

Learn how to apply for an NPI external link

Search the NPI registry external link

Opt out

Review a list of physicians and practitioners who have chosen to opt out of the Medicare Part B program as well as the specific rules pertaining to those who enter into private contracts with beneficiaries.

View opt-out listings on Data.CMS.gov external link

Learn about private contracts with beneficiaries

Find out about opt-out providers wishing to order/refer FAQ

View Medicare Benefit Policy Manual, Chapter 15 external pdf file

Ordering/referring report

Learn how to confirm a provider’s eligibility to order and refer services and items that will be furnished and billed by another provider or supplier.

Learn how to enroll as an ordering/referring provider external pdf file

View Ordering/referring FAQs

Search or download ordering/referring provider listing. external link

-- It includes physicians, non-physician types (PA, NP, LCSW, PhD, CNS, and CNMs), and providers who are part of a Home Health Agency (Note: Part A HHAs will only be able to report the NPI of a physician.)

FAQs

Find the answers to your questions about provider enrollment, revalidation, ordering/referring, and EFT agreements.

Provider enrollment FAQs -- Part A

Provider enrollment FAQs -- Part B

Revalidation FAQs -- Part B

Ordering/referring FAQs

Electronic Funds Transfer (EFT) FAQs

Resources

Find resources to help you better understand the provider enrollment process, including a helpful glossary, specialty codes, and tips on expediting your enrollment application.

Learn provider enrollment terms

Find Medicare provider/supplier specialty codes

Learn about enrollment for mass immunizers

Medicare provider/supplier specialty codes

Processing time frames for enrollment applications

Find CMS’ provider enrollment resources external link

View Medicare Program Integrity Manual, Chapter 15 external pdf file

Revalidation

Learn about the revalidation process, including confirming a request, responding to a request, and helpful tips.

Confirm a revalidation request using the application status tool – Note: Select the Revalidation letter tab to confirm a revalidation request.

Learn how to revalidate

View a revalidation checklist compressed file

Find answers to Revalidation FAQs

Begin revalidation external link

Informational Videos

View the following videos for helpful information for preventing provider enrollment inquiries and application development.

How do I complete and submit the CMS-588 EFT form?

Understanding billing gaps

Avoid mismatched names when completing Medicare enrollment forms

Difference between sole owner and sole proprietor

Tips & Tutorials

Learn helpful enrollment tips and view informative tutorials to guide you during the enrollment process.

Learn how to complete CMS-855A flash file

Learn how to complete CMS-855B flash file

Learn how to complete CMS-855I flash file

Learn how to complete CMS-855R flash file

Learn how to complete CMS-588 flash file

Learn tips to expedite your enrollment application

Enrollment process information and resources flash file

First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.